Organization
REVIVEPATH RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHALIAH MUHAMMAD (FOU)
(702) 444-9292
Entity
Organization
Contact information
Practice address
2920 N 24TH AVE STE 150, PHOENIX, AZ 85015-5959
(702) 444-9292
Mailing address
2920 N 24TH AVE STE 150, PHOENIX, AZ 85015-5959
(702) 444-9292
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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